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CALI_ACK.BLD
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1997-07-22
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#100
@001/@001 Name the state where the acknowledgement is taken:
~If you select KEY IN VALUE, you should type the name in
~ALL CAPITAL LETTERS.
CALIFORNIA
KEY IN VALUE
#end control section
#100
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
STATE OF @001
COUNTY OF _________________________
On _____________________________________, before me,
________________________________________, Notary Public,
personally appeared ____________________________________
________________________________________________________
personally known to me (or proved to me on the basis of
satisfactory evidence) to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the
instrument the person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signature _________________________________________
(SEAL)